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	<title>Comments for Joint Replacement Blog</title>
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	<link>http://www.valleymed.org/blogs/joint</link>
	<description>Get Back in the Game</description>
	<lastBuildDate>Mon, 30 May 2011 19:22:14 +0000</lastBuildDate>
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		<title>Comment on Patient-specific custom cutting guides for total knee replacement by steve rowe</title>
		<link>http://www.valleymed.org/blogs/joint/2011/05/24/patient-specific-custom-cutting-guides-for-total-knee-replacement/#comment-4957</link>
		<dc:creator>steve rowe</dc:creator>
		<pubDate>Mon, 30 May 2011 19:22:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.valleymed.org/blogs/joint-replacement/?p=266#comment-4957</guid>
		<description>I will bring you my knees when you resume computer assisted knee replacement.</description>
		<content:encoded><![CDATA[<p>I will bring you my knees when you resume computer assisted knee replacement.</p>
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		<title>Comment on Patient-specific custom cutting guides for total knee replacement by steve rowe</title>
		<link>http://www.valleymed.org/blogs/joint/2011/05/24/patient-specific-custom-cutting-guides-for-total-knee-replacement/#comment-4956</link>
		<dc:creator>steve rowe</dc:creator>
		<pubDate>Mon, 30 May 2011 19:21:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.valleymed.org/blogs/joint-replacement/?p=266#comment-4956</guid>
		<description>Let me know when you resume computer assisted knee replacement and I will bring you both knees.</description>
		<content:encoded><![CDATA[<p>Let me know when you resume computer assisted knee replacement and I will bring you both knees.</p>
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		<title>Comment on Alternative bearing surfaces in total hip replacement by Name</title>
		<link>http://www.valleymed.org/blogs/joint/2011/01/03/alternative-bearing-surfaces-in-total-hip-replacement/#comment-1554</link>
		<dc:creator>Name</dc:creator>
		<pubDate>Thu, 27 Jan 2011 02:54:55 +0000</pubDate>
		<guid isPermaLink="false">http://www.valleymed.org/blogs/joint-replacement/?p=200#comment-1554</guid>
		<description>Has anyone ever replaced a knuckle?  The knuckle on my ring finger of my right hand is extremely painful due to arthritis.  I am right-handed so I am almost always in pain from the daily use.  I went to one Orthopedic Surgeon and he told me the only thing that could be done is to have the joint frozen.  That is not an option to me, and if that is all that can be done, then I guess I will have to live with the pain.  Just wondering if there is a different opinion out there.</description>
		<content:encoded><![CDATA[<p>Has anyone ever replaced a knuckle?  The knuckle on my ring finger of my right hand is extremely painful due to arthritis.  I am right-handed so I am almost always in pain from the daily use.  I went to one Orthopedic Surgeon and he told me the only thing that could be done is to have the joint frozen.  That is not an option to me, and if that is all that can be done, then I guess I will have to live with the pain.  Just wondering if there is a different opinion out there.</p>
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		<title>Comment on Revisiting the anterior total hip approach by Sue Jones</title>
		<link>http://www.valleymed.org/blogs/joint/2008/04/15/revisiting-the-anterior-total-hip-approach/#comment-437</link>
		<dc:creator>Sue Jones</dc:creator>
		<pubDate>Fri, 27 Aug 2010 17:53:42 +0000</pubDate>
		<guid isPermaLink="false">http://www.drwilliambarrett.com/?p=76#comment-437</guid>
		<description>I had AVN in both hips and had my left hip replaced March 24, 2010 by Dr. Joel Matta.  I used a cane for just under two weeks, no complications, no problems during recovery and returned to California for my right hip replacement August 3, 2010.  Again, used a cane for under 2 weeks.  This is my third week and I&#039;m feeling great...walking with a noticeable limp and still sore but each week is an improvement.  The anterior approach is the only way to go.  Find a good surgeon who has performed a lot of procedures or travel to California to Dr. Matta....it&#039;s worth every penney.</description>
		<content:encoded><![CDATA[<p>I had AVN in both hips and had my left hip replaced March 24, 2010 by Dr. Joel Matta.  I used a cane for just under two weeks, no complications, no problems during recovery and returned to California for my right hip replacement August 3, 2010.  Again, used a cane for under 2 weeks.  This is my third week and I&#8217;m feeling great&#8230;walking with a noticeable limp and still sore but each week is an improvement.  The anterior approach is the only way to go.  Find a good surgeon who has performed a lot of procedures or travel to California to Dr. Matta&#8230;.it&#8217;s worth every penney.</p>
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		<title>Comment on MY HIP HAS DISLOCATED AFTER A TOTAL HIP REPLACEMENT by Dr. William Barrett</title>
		<link>http://www.valleymed.org/blogs/joint/2008/08/04/my-hip-has-dislocated-after-a-total-hip-replacement/#comment-471</link>
		<dc:creator>Dr. William Barrett</dc:creator>
		<pubDate>Thu, 26 Aug 2010 16:51:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.drwilliambarrett.com/?p=90#comment-471</guid>
		<description>Dear Veletta,
Dislocation of a total hip after a previous fracture is more common than in patients treated for osteoarthritis.  Patients who have had strokes and subsequent weakness have a higher rate of dislocations.  There are options to help your husband.  You should seek out an orthopedic surgeon who performs revision total hips and see them in consultation about what to do.
Regards,
William Barrett</description>
		<content:encoded><![CDATA[<p>Dear Veletta,<br />
Dislocation of a total hip after a previous fracture is more common than in patients treated for osteoarthritis.  Patients who have had strokes and subsequent weakness have a higher rate of dislocations.  There are options to help your husband.  You should seek out an orthopedic surgeon who performs revision total hips and see them in consultation about what to do.<br />
Regards,<br />
William Barrett</p>
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		<title>Comment on Ceramic-on-Ceramic Total Hip: What is All the Noise About? by Dr. William Barrett</title>
		<link>http://www.valleymed.org/blogs/joint/2007/02/21/ceramic-on-ceramic-total-hip-what-is-all-the-noise-about/#comment-131</link>
		<dc:creator>Dr. William Barrett</dc:creator>
		<pubDate>Thu, 26 Aug 2010 16:48:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.drwilliambarrett.com/?p=46#comment-131</guid>
		<description>Dear Pauline,
You should definitly see an orthopedic surgeon and have your hip examined and get an xray.  These symptoms can mean many things and they are important to check out.
Regards,
William Barrett</description>
		<content:encoded><![CDATA[<p>Dear Pauline,<br />
You should definitly see an orthopedic surgeon and have your hip examined and get an xray.  These symptoms can mean many things and they are important to check out.<br />
Regards,<br />
William Barrett</p>
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		<title>Comment on Ceramic-on-Ceramic Total Hip: What is All the Noise About? by Pauline Cozort</title>
		<link>http://www.valleymed.org/blogs/joint/2007/02/21/ceramic-on-ceramic-total-hip-what-is-all-the-noise-about/#comment-130</link>
		<dc:creator>Pauline Cozort</dc:creator>
		<pubDate>Thu, 26 Aug 2010 01:56:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.drwilliambarrett.com/?p=46#comment-130</guid>
		<description>I had both hips replaced 9 yrs. ago.  During the first year my rt. hip &quot;popped&quot; out causing so much pain I couldn&#039;t walk or sit.  After 10 min. or so I had to try to sit down and it popped back in.  That hasn&#039;t happened since, but the same hip has popped out slightly many times and slid back in.  I have recently lost 70 lbs. and have started walking briskly for exercise.  I hear popping in my rt. hip with every step I take.  I do not hear it when walking normally.  I do not have any pain.  Does this mean my hip is wearing out?  Should I see my Dr. about this?</description>
		<content:encoded><![CDATA[<p>I had both hips replaced 9 yrs. ago.  During the first year my rt. hip &#8220;popped&#8221; out causing so much pain I couldn&#8217;t walk or sit.  After 10 min. or so I had to try to sit down and it popped back in.  That hasn&#8217;t happened since, but the same hip has popped out slightly many times and slid back in.  I have recently lost 70 lbs. and have started walking briskly for exercise.  I hear popping in my rt. hip with every step I take.  I do not hear it when walking normally.  I do not have any pain.  Does this mean my hip is wearing out?  Should I see my Dr. about this?</p>
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		<title>Comment on MY HIP HAS DISLOCATED AFTER A TOTAL HIP REPLACEMENT by Veletta Martindale</title>
		<link>http://www.valleymed.org/blogs/joint/2008/08/04/my-hip-has-dislocated-after-a-total-hip-replacement/#comment-470</link>
		<dc:creator>Veletta Martindale</dc:creator>
		<pubDate>Wed, 25 Aug 2010 17:50:42 +0000</pubDate>
		<guid isPermaLink="false">http://www.drwilliambarrett.com/?p=90#comment-470</guid>
		<description>My husband broke his hip in 2009.  He had a total hip replacement in July, 29.  We found out then that his hip had never healed although we had been told countless times that it had.  My husband is very independent and stupid.  He has had numerous strokes in the past one left his right side weak.  He was up and walking when his hip broke.  He has been wheelchair bound sense.  His hip has become dislocated twice sense the surgery not even a month ago.  I believe it is because he hasn&#039;t followed hip precautions.  His hip was found to be dislocated yesterday.  He has alienated his ortho surgeon.  I am at my wits end.  What are our options?  Thanking you in advance for your advice.</description>
		<content:encoded><![CDATA[<p>My husband broke his hip in 2009.  He had a total hip replacement in July, 29.  We found out then that his hip had never healed although we had been told countless times that it had.  My husband is very independent and stupid.  He has had numerous strokes in the past one left his right side weak.  He was up and walking when his hip broke.  He has been wheelchair bound sense.  His hip has become dislocated twice sense the surgery not even a month ago.  I believe it is because he hasn&#8217;t followed hip precautions.  His hip was found to be dislocated yesterday.  He has alienated his ortho surgeon.  I am at my wits end.  What are our options?  Thanking you in advance for your advice.</p>
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		<title>Comment on Update on Total Hip Bearing Surfaces by Dr. William Barrett</title>
		<link>http://www.valleymed.org/blogs/joint/2010/07/12/update-on-total-hip-bearing-surfaces/#comment-642</link>
		<dc:creator>Dr. William Barrett</dc:creator>
		<pubDate>Mon, 23 Aug 2010 18:41:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.drwilliambarrett.com/?p=148#comment-642</guid>
		<description>Dear Dr. Gopalan,
1.  I do not perform surface replacement but in small lesions it would be applicable but in large head involvement it would compromise implant support.

2.  Revision with a ceramic head using a metal adaptor on neck and ceramic liner would be most appropriate, fortunately the fx rate of ceramic on ceramic is very low.
Regards,
William Barrett</description>
		<content:encoded><![CDATA[<p>Dear Dr. Gopalan,<br />
1.  I do not perform surface replacement but in small lesions it would be applicable but in large head involvement it would compromise implant support.</p>
<p>2.  Revision with a ceramic head using a metal adaptor on neck and ceramic liner would be most appropriate, fortunately the fx rate of ceramic on ceramic is very low.<br />
Regards,<br />
William Barrett</p>
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	<item>
		<title>Comment on Update on Total Hip Bearing Surfaces by Dr Hitesh Gopalan</title>
		<link>http://www.valleymed.org/blogs/joint/2010/07/12/update-on-total-hip-bearing-surfaces/#comment-641</link>
		<dc:creator>Dr Hitesh Gopalan</dc:creator>
		<pubDate>Sat, 21 Aug 2010 11:37:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.drwilliambarrett.com/?p=148#comment-641</guid>
		<description>Dear Sir,

please write your expert opinion on two topics:

1. Resurfacing for AVN
2. Revision THA for ceramic head fracture.

In our orthopaedic Resident Education Website:

http://orthopaedicprinciples.com/2010/08/revision-tha-after-ceramic-head-fracture/

http://orthopaedicprinciples.com/2010/08/resurfacing-for-avn-hip-vijay-bose/

Regards,

Dr Hitesh Gopalan
Coordinator, Indian Orthopaedic Trainees Association (IOTA)</description>
		<content:encoded><![CDATA[<p>Dear Sir,</p>
<p>please write your expert opinion on two topics:</p>
<p>1. Resurfacing for AVN<br />
2. Revision THA for ceramic head fracture.</p>
<p>In our orthopaedic Resident Education Website:</p>
<p><a href="http://orthopaedicprinciples.com/2010/08/revision-tha-after-ceramic-head-fracture/" rel="nofollow">http://orthopaedicprinciples.com/2010/08/revision-tha-after-ceramic-head-fracture/</a></p>
<p><a href="http://orthopaedicprinciples.com/2010/08/resurfacing-for-avn-hip-vijay-bose/" rel="nofollow">http://orthopaedicprinciples.com/2010/08/resurfacing-for-avn-hip-vijay-bose/</a></p>
<p>Regards,</p>
<p>Dr Hitesh Gopalan<br />
Coordinator, Indian Orthopaedic Trainees Association (IOTA)</p>
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